4613 1_2 Penkwe Way
13161 rOffir°
City o1 EaQall PI
3830 Pilot Knob Road :
Eagan MN 56122 Date Received _
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 1 Staff I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: (f 3 `IC/ ? +-IGIj (~3r f2- J9 /ts- - ~Yi c
Tenant: 011112 01 le- L S GP i7 " 4- Suite
RESIDENT / OWNER Name: To 'e- r49&.n / ' hone:
Address i City I Zip:
Applicant is: Owner X Contractor+
TYPE OF WORK Description of work:
Construction Cost: 1s-J7 ~ Multi-Family Building: (Yes / No
CONTRACTOR Name: 0,* License ? I > '2 7.3
Address: 9 1 ' ' Zl 1j
City: State: Zip: S 5.3 'l
Phone: 612 5`?-- cy Contact Person: t) r' 2 I''
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category I Worksheet - • New Energy Code Worksheet
Category Submitted Submitted
(I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE-' • Plans aridsu
ppot ing documents -,batybu submit are considered tobe public +nformation. Portions of
the informptlon maybe classified as non-public if you provide spec ? sons that would perr+iitthe City to,
c ~olude that iihe pare tiraiese
I hereby acknowledge that this information is complete and accurate; that the work will be in c¢rlformanc a with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
s ,~A raj
x f l.~yyf x
Applicant's Printed Name Signature
Page 1 of 3
ILL
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) - Storm Damage
Single Family Garage - Porch (4-Season) - Exterior Alteration (Single Family)
~C3 Multi Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New - Interior Improvement Siding Demolish Building*
_ Addition Move Building _ Reroof i Demolish Interior
Alteration - Fire Repair _ Windows - Demolish Foundation
Replace Repair * Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy C -3 MCES System
Plan Review Code Edition ( ' z ' 1 SAC Units
(25%100% Zoning City Water
Census Code q3Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
wa Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath Brick
Fireplace: _Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee c~j~ • L' C~
+J M1$ 1 LAO iZ
Surcharge , Ua 71 ~OcZ 'D~u 11>1-, y,
Plan Review & ! 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
POW
F F - or- Office -U-se
Permit
City of Eaaall
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESID TIAL BUILDING PERMIT APPLICATION
ate: Site Address:
manta Suite
tESIDENT I OWNER Name: Phone:
Address / City I Zip:
Applicant is: Owner ontractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes I No
':ONTRACTOR Name: License
Address:
City: Stater Zip:
Phone: Contact Pers :
COMPLETE THIS AREA ONLY IF CONSTRUCTI G A NEW BUILDING
Minnesota Rules 7670 Category I Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
e City of Eagan issued a permit for a similar plan based on a master plan?
d address of master plan:
Phone:
vo~ Phone:
Phone:
nts that you submit are considered to be public information. Portions of
on-public if you provide specific reasons that would permit the City to
^lude that they are trade secrets.
accurate; that the work will be in conformance with the ordinances and codes of the City of
'placation for a permit, and work is not to start without a permit: that the work will be in
quires a review and approval of plans.
rO
Qa9e x
Applicant's Signature
Page 1 of 3
t
-.--m`/y}~w~.~.~~..m.8.[ s"fit}c
J U 8..i
l
~a-
S • °rl
C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Tel. 645-3646
1381 EUSTIS ST., ST. PAUL, MINN. 55108
For:
U. S. Home Corporation
N
EAGAN
REVIEWED
DATE: 417 L
BUILDING INSPECTIONS DIVISION .G'Apec _ I r
Scale: 1" = 50'
~2 ,i2 I
1 -3
C ~ w M~ ° I
lu 22.33 22 'i3 >
~ V I W ~
,1, _ 1a . rr
22
neap
'VtiM
Lots 1 through 4 inclusive, Block 10,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted thisday of Ocy, A. D. 198 / C. R. WINDEN & ASSOCIATES, INC.
A d r
by
Surveyor, Minnesota Registration No.
RESIDENT OWNER
Name: d (L Caps C_L Phone: Lo T 13- J axo
Address City Zip: L 4_013 1 17 Peri icuic L.ti -1
CONTRACTOR
Name: NSVILLE HEATING A/C, INC. License #:C4 t, S3 .c1_, 11
3451 W. Burnsville Parkway
Address: Suit 120
City: MN 55337 State: Zip:
9urnsville
Phone:`► S F LJ -3 Contact Person: 6--N ra.
TYPE OF WORK
PERMIT TYPE
New Replacement Additional Alteration Demolition
Description of work:
*1 0
RESIDENTIAL
X Furnace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under Above ground Tank Install Remove)
When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
Other
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes $.50 State Surcharge)
out appliances, ductwork, etc.) (includes $.50 State Surcharge) C
�X` TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value x 1%
Permit Fee
If Permit Fee is less than $1,000,
State Surcharge
If Permit Fee is $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
TOTAL FEE
C!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 MECHANICAL PERMIT APPLICATION
Date —1?) -act Site Address: y L I :)--)t 12 PQfl t C LD
Tenant: C.t kL
Applicant's Printed Name
x
App iicant's Signature
1
Permit 1 (&c
Permit Fee:
Date Received:
Staff:
Suite
I h ereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
S
399
PEWIT
M 01122 DATE. 1 t!/ � n 1
46100,3- Rry 1 unit tnhse
C Orrin Thompson Domes Units:
Address.
site Address: 4613 1/2 Penkwe Way L2 B10 J C Ridge 1I1
Plumber; i Jenze1 :leehanical.
Meter No.: Connection Charge: 335.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
1 agree to crisply with the City of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges: 60.00 pd meter
Total:
By Dote Date Paid
D
Date o Insp.. —' Z Insp.:
CITY -A AGAN
S R SERVICE PERMIT
879$ . Knob Read
im;MNSa1ss P IT NO.: 1423
Zoning: RIV DATE: 12 18 / 31
Owner: Orrin Thom No. of Units: 1 unit ___
Address: Bon t3o�ti
Site Address: 46133' Peukwe W 110.111111111.0
1 a‘
Plumber: Meehan : L Wenzel illiimmli
B14 • J C d e III
14/19/81 2733 .•
1 *Poo to y with the. Cihr of ' � 00.00 pd
Account Deposit:
Permit Fee: _ 1 C QC D d
B ,# Surcharge: 5C d
Dote o � r-!i Misc. Charges: -- ----_'
iee p .: _^____ — Z� l Total:
Dote Paid:
•
F '
1Y 3
1S'
�� I�, �l9 l � �l�-, L�l �, �� ��� � J�- , Use BL13E or BLACK ir�k
�-----------------
i For Office Use �
'} �t j Permit#: ' l I j
��1�� Q� �i���� ` U3.� �
��� � Permit Fee: � �
383U Pitot Knob Road ;
Eagan MN 55122 1 Date Received: j
Phone:t651)6i5-5675 t Staff: 1
Fax.(651)675-5894 � �
- � .. . . . . . . .. .. .. .. . . . . .. . �. ��.���J .
20'1A� RESIDENTiAL BUlLDING PERMIT APPLICATION
oac�: �-�I�`j`� s�naa�s:�6 l 3 1-!� l`5 �1� ��l��v� tv✓� un�t#:
€ Name: Ll!�/�l?i'a� ��1 �- !e�t,v��1,�^�r2� �Phane: �
Resitlertt/ ,
owner aadress�c�Y��p: ,���"� ��-'
ApPlicant is: Owner � Cont�actor �
Description of work: �'Gv�''� ��� � �� '��o'�'�
Type of Wor�€ <
Constnaction Gost:��'i!�� � Mut�-Family Building:(Yes .� I No„_,_�
� /" f( sy/ 4'
Company:11/G�YZt/�.5 7� �,,�,7.f��r�r�t�'�t��5 '� Contad:��r s� �G�t���
C4t1#t�4'�A!' Address:���j� Z�`6?�/ �7� yr�Y� � City:l�l�'�t" t�tZl��'''�.--
1�
state:�z�p_ `'�.��`� Phone:�f��`"�'Emait:�+m��j.��-r,��:s7"�.c���"�'���"��
ir�R �7 ���_��r.�yl c� }
{_IC@flS@� �� +tA � L@fld�Rf'�I�Ca�#:I�J�L°t""�..�1' j 1 f 6.�.? �!
I�the project is exempt#rom lead ce�tification,please expiain v�►hy: (see Rage 3 for additional inforrnation)
- COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUtLDING -
!n the tast 72 miont , the City of Eagan issued a pertnit fcu a similar-planbased on a master ptan? �
,,rYes _No if yes,date and adctr f master plan:
Llcensed Plumber: Phone:
Mechanical Gontractor: , ;
Sewer&Waber Co r. Phone: ``'��„p,
��1t7XE: ° s�r►r#suppc�r�r��s>c�m�rrts��Kaer submrt are�ansi�l�red'#o be publ�c ic�`e�r���r #�ns:�'
� � � �.
,rnfareriatz���ra,��r�class�e�f as r#cc�r�-pubric if you pr�viai�specff�r�asax�s�woul�perm����`ta'
co�cl�de tha�the �re+��i�s�cr��s
GALL B�FORE YOU DIG. CaII GapherState One Calt at(651}454-0002 for protection againsf underground utility d�mage. Caii 48 hours 'i
before you intend to dig to receive locates of underground utili6es. www.gonherstaTeonecali.oro
i hereby acknowledge that this information is c�mp�te and aa�rate;that the work wii4 be in confarmance with ihe ordinanc�s and codes af the City of
E�ar►;#fiat i understar�d this is not a pe�nit,but ortty an applicatian for a permit, and work is not to start wiihout a permlt;that the work-wi[I be in
ac�ordance with the aPProved ptan in ft�case of uaark which requires a=eview ar�d approval of ptans.
Exterior work autMorized by a bulldi�permit isstred in accor�nce wi�the Minnesota State ildir�g Code m�t 6�compieted w�th9rt°!80
days of pernt(t issuance. _
X��R ` }
� .� . . . . . .. x �. . � ���. �. . � � .
AAp�iicanf s Printed Name T ` ' arrt's�ignature '
Page 1 of 3